Women's Health USA 2003

Text: Maternal and Child Health Bureau

HEALTH STATUS-Health Indicators

 39

 

CANCER (CONT’D)

From 1992 to 1999, the incidence rate of breast cancer among U.S. women increased nearly 5 percent, from 129.8 per 100,000 population in 1992 to 135.9 in 1999. Breast cancer increased among White and Asian/Pacific Islander females, while the rates among American Indian/Alaska Native, Hispanic and Black women remained relatively stable during this period. In 1999, White women had the highest incidence rates of breast cancer (140.8), followed by Black women (120.9).

The colon cancer rate for females overall declined slightly, from 47.9 in 1992 to 45.5 in 1999. American Indian/Alaska Native women had a major decrease in the incidence of colon/rectum cancer, while other racial groups had smaller decreases. In 1999, Black women had the highest incidence rates of colorectal cancer (56.1), followed by White (44.6) and Asian/Pacific Islander women (40.2).

Although death rates from colorectal and lung/bronchus cancers are higher than breast cancer death rates, breast cancer is more common among U.S. women. The rate of new cases of breast cancer (135.9) in 1999 was nearly three times higher than the incidence rates of lung/bronchus (48.2) and colon/rectum (45.5) cancers.

Health behaviors such as not smoking, being physically active, and eating a low-fat and nutritious diet may reduce the risk of cancer.1 Screening for specific types of cancer in women is also recommended. Pap smears should begin three years after sexual activity begins, or at the age of 21, whichever comes first. Mammograms are recommended for women aged 40 years and older to screen for breast cancer and, for persons aged 50 and older, fecal occult blood testing and sigmoidoscopy are recommended to screen for colorectal cancer.2 A recent study found that breastfeeding may also reduce the risk for premenopausal breast cancer and ovarian cancer.3

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1United States Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion. Chronic Diseases and Their Risk Factors. December 1999. http://www.cdc.gov/nccdphp/statbook/statbook.htm [Back to Text]

2U.S. Preventive Services Task Force. Screening for Colorectal Cancer: Recommendations and Rationale. July 2002. Originally in Annals of Internal Medicine 2002; 137:129-31. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/3rduspstf/colorectal/colorr.htm [Back to Text]

3Labbok MH. Effects of breastfeeding on the mother. Pediatric Clinics of North America 2001; 48(1):143-157. [Back to Text]


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